Is DSM-IV criterion A2 associated with PTSD diagnosis and symptom severity?

Journal of Traumatic Stress

Volumn 25, Issue 4, 2012, Pages 368-375

  Osei Bonsu, Princess E ^a   Spiro, Avron ^b,c   Schultz, Mark R ^a   Ryabchenko, Karen A ^b,d   Smith, Eric ^a,e   Herz, Lawrence ^a   Eisen, Susan V ^a,f  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b VA BOSTON HEALTHCARE SYSTEM   (United States)

^c BOSTON UNIVERSITY   (United States)

^d BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^f BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AROUSAL; ARTICLE; CHI SQUARE DISTRIBUTION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FEAR; FEMALE; HEALTH SURVEY; HUMAN; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; POSTTRAUMATIC STRESS DISORDER; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL RATING SCALE; SEVERITY OF ILLNESS INDEX; VETERAN;

ADULT; AROUSAL; CHI-SQUARE DISTRIBUTION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FEAR; FEMALE; HEALTH SURVEYS; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PSYCHIATRIC STATUS RATING SCALES; SEVERITY OF ILLNESS INDEX; STRESS DISORDERS, POST-TRAUMATIC; VETERANS;

EID: 84864741020     PISSN: 08949867     EISSN: 15736598     Source Type: Journal    
DOI: 10.1002/jts.21720     Document Type: Article

References (42)

1. Adler, A. B., Wright, K. M., Bliese, P. D., Eckford, R., & Hoge, C. W. (2008). A2 diagnostic criterion for combat-related posttraumatic stress disorder. Journal of Traumatic Stress, 21, 301-308. doi:10.1002/jts.20336
2. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
3. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
4. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
5. American Psychiatric Association. (2010). DSM-5 Development. Retrieved from
6. Anders, S. L., Frazier, P. A., & Frankfurt, S. B. (2011). Variations in Criterion A and PTSD rates in a community sample of women. Journal of Anxiety Disorders, 25, 176-184. doi:10.1016/j.janxdis.2010.08.018
7. Bedard-Gilligan, M., & Zoellner, L. A. (2008). The utility of the A1 and A2 criteria in the diagnosis of PTSD. Behaviour Research and Therapy, 46, 1062-1069. doi:10.1016/j.brat.2008.06.009
8. Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Charney, D. S., & Keane, T. M. (2000). The Clinician Administered PTSD Scale (CAPS) for DSM-IV [Computer software and manual]. Boston, MA: Department of Veterans Affairs.
9. Boals, A., & Schuettler, D. (2009). PTSD symptoms in response to traumatic and non-traumatic events: The role of respondent perception and A2 criterion. Journal of Anxiety Disorders, 23, 458-462. doi:10.1016/j.janxdis.2008.09.003
10. Bovin, M. J., & Marx, B. P. (2011). The importance of the peritraumatic experience in defining traumatic stress. Psychological Bulletin, 137, 47-67. doi:10.1037/a0021353
11. Breslau, N., & Kessler, R. C. (2001). The stressor criterion in DSM-IV posttraumatic stress disorder: An empirical investigation. Biological Psychiatry, 50, 699-704.
12. Brewin, C. R., Lanius, R. A., Novac, A., Schnyder, U., & Galea, S. (2009). Reformulating PTSD for DSM-V: Life after Criterion A. Journal of Traumatic Stress, 22, 366-373. doi:10.1002/jts.20443
13. Clancy, C. P., Graybeal, A., Thompson, W. P., Badgett, K. S., Feldman, M. E., Calhoun, P. S., Beckham, J. C. (2006). Lifetime trauma exposure in veterans with military-related posttraumatic stress disorder: Association with current symptomatology. Journal of Clinical Psychiatry, 67, 1346-1353. doi:10.4088/JCP.v67n0904
14. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
15. David, A., Akerib, V., Gaston, L., & Brunet, A. (2010). Consistency of retrospective reports of peritraumatic responses and their relation to PTSD diagnostic status. Journal of Traumatic Stress, 23, 599-605. doi:10.1002/jts.20566
16. Del Vecchio, N., Elwy, A. R., Smith, E., Bottonari, K. A., & Eisen, S. V. (2011). Enhancing self-report assessment of PTSD: Development of an item bank. Journal of Traumatic Stress, 24, 1-9. doi:10.1002/jts.20611
17. DeSalvo, K. B., Fan, V. S., McDonell, M. B., & Fihn, S. D. (2005). Predicting mortality and healthcare utilization with a single question. Health Services Research, 40, 1234-1246. doi:10.1111/j.1475-6773.2005.00404.x
18. Dohrenwend, B. P., Turner, J. B., Turse, N. A., Adams, B. G., Koenen, K. C., & Marshall, R. (2007). Continuing controversy over the psychological risks of Vietnam for U.S. veterans. Journal of Traumatic Stress, 20, 449-465. doi:10.1002/jts.20296
19. Eisen, S. A., Griffith, K. H., Xian, H., Scherrer, J. F., Fischer, I. D., Chantarujikapong, S., Tsuang, M. T. (2004). Lifetime and 12-month prevalence of psychiatric disorders in 8, 169 male Vietnam War era veterans. Military Medicine, 169, 896-902.
20. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID-I). Arlington, VA: American Psychiatric Publishing, Inc.
21. Friedman, M. J., Resick, P. A., Bryant, R. A., & Brewin, C. R. (2011). Considering PTSD for DSM-5. Depression and Anxiety, 28, 1-20. doi:10.1002/da.20767
22. Gates, M. A., Holowka, D. W., Vasterling, J. J., Keane, T. M., Marx, B. P., & Rosen, R. C. (2012). Posttraumatic stress disorder in veterans and military personnel: Epidemiology, screening, and case recognition. Psychological Services. Advanced online publication. doi:10.1037/a0027649
23. Gray, G. C., Kaiser, K. S., Hawksworth, A. W., Hall, F. W., & Barrett-Conner, E. (1999). Increased postwar symptoms and psychological morbidity among U.S. Navy Gulf War veterans. American Journal of Tropical Medicine and Hygiene, 60, 758-766.
24. Hathaway, L. M., Boals, A., & Banks, J. B. (2010). PTSD symptoms and dominant emotional response to a traumatic event: An examination of DSM-IV Criterion A2. Anxiety, Stress, & Coping, 23, 119-126. doi:10.1080/10615800902818771
25. Hoge, C. H., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351, 13-22. doi:10.1056/NEJMoa040603
26. Karam, E. G., Andrews, G., Bromet, E., Petukhova, M., Ruscio, A. M., Salamoun, M., Kessler, R. C. (2010). The role of Criterion A2 in the DSM-IV diagnosis of posttraumatic stress disorder. Biological Psychiatry, 68, 465-473. doi:10.1016/j.biopsych.2010.04.032
27. Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617-627. doi:10.1001/archpsyc.62.6.617
28. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048-1060.
29. King, D. W., King, L. A., Foy, D. W., & Gudanowski, D. M. (1996). Prewar factors in combat-related posttraumatic stress disorder: Structural equation modeling with a national sample of female and male Vietnam veterans. Journal of Consulting and Clinical Psychology, 64, 520-531. doi:10.1037/0022-006X.64.3.520
30. King, L. A., King, D. W., Schuster, J., Park, C. L., Moore, J. L., Kaloupek, D. G., & Keane, T. M. (2011). Captivity stressors and mental health consequences among repatriated U.S. Navy, Army, and Marine Vietnam-era prisoners of war. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 412-420. doi:10.1037/a0021411
31. Kubany, E. S., Ralston, T. C., & Hill, E. E. (2010). Intense fear, helplessness, "and" horror? An empirical investigation of DSM-IV PTSD Criterion A2. Psychological Trauma: Theory, Research, Practice, and Policy, 2, 77-82. doi:10.1037/a0019185
32. Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. (1990). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. Philadelphia, PA: Brunner/Mazel.
33. Norris, F. H., & Hamblen, J. L. (2004). Standardized self-report measures of civilian trauma and PTSD. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (2nd ed.). New York: Guildford Press.
34. Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
35. Resick, P. A., & Miller, M. W. (2009). Posttraumatic stress disorder: Anxiety or traumatic stress disorder? Journal of Traumatic Stress, 22, 384-390. doi:10.1002/jts.20437
36. Roemer, L., Orsillo, S. M., Borkovec, T. D., & Litz, B. T. (1998). Emotional response at the time of a potentially traumatizing event and PTSD symptomatology: A preliminary retrospective analysis of the DSM-IV Criterion A-2. Journal of Behavior Therapy and Experimental Psychiatry, 29, 123-130. doi:10.1016/S0005-7916(98)00007-X
37. Schnurr, P. P., Spiro III, A., Vielhauer, M. J., Findler, M. N., & Hamblen, J. L. (2002). Trauma in the lives of older men: Findings from the Normative Aging Study. Journal of Clinical Geropsychology, 8, 175-187. doi:10.1023/A:1015992110544
38. Smith, M. W., Schnurr, P. P., & Rosenheck, R. A. (2005). Employment outcomes and PTSD symptom severity. Mental Health Services Research, 7, 89-101. doi:10.1007/s11020-005-3780-2
39. SPSS Inc. (2007). SPSS 16.0 [Computer software]. Chicago, IL: Author.
40. Stretch, R. H., Knudson, K. H., & Durand, D. (1998). Effects of premilitary and military trauma on the development of post-traumatic stress disorder symptoms in female and male active duty soldiers. Military Medicine, 163, 466-470.
41. Watkins, C., Daniels, L., Jack, C., Dickinson, H., & van den Broek, M. (2001). Accuracy of a single question in screening for depression in a cohort of patients after stroke: Comparative study. British Medical Journal, 323, 1159. doi:10.1136/bmj.323.7322.1159
42. Wolfe, J., Turner, K., Caulfield, M., Newton, T. L., Melia, K., Martin, J., & Goldstein, J. (2005). Gender and trauma as military attrition: A study of Marine Corps recruits. Military Medicine, 170, 1037-1043.